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在约旦疫情第一波期间,新冠病毒病对感染新冠病毒病的孕妇围产期心理健康的影响。

Impact of COVID-19 on perinatal mental health among pregnant mothers infected with COVID-19, during the first wave of the epidemic in Jordan.

作者信息

Hamadneh Jehan, Hamadneh Shereen, ALBashtawy Mohammed, Alkhawaldeh Abdullah, Bashtawi Mahmoud, Alshloul Mohammad, Rayan Ahmad, Abdalrahim Asem

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Department of Maternal and Child Health, Princess Salma Faculty of Nursing, Al Al-Bayt University, Mafraq, Jordan.

出版信息

Heliyon. 2022 Nov 29;8(12):e12017. doi: 10.1016/j.heliyon.2022.e12017. eCollection 2022 Dec.

Abstract

BACKGROUND

Data concerning the impact of Coronavirus disease (COVID-19) infection on the mental health of pregnant women are still limited. The study explored baseline information regarding the impact of COVID-19 on mental health in the perinatal period, among mothers infected with COVID-19, during the first wave of the epidemic in Jordan. The current study aimed to examine the anxiety levels of pregnant women infected with coronavirus over the COVID-19 pandemic.

METHODS

A cross-sectional study was conducted during the period from March to December 2021, using an online survey that addressed key issues related to the role of COVID-19 infection in developing anxiety among pregnant women using the Edinburgh Postnatal Depression Scale (EPDS). The study population was pregnant women with laboratory-confirmed COVID-19 infection, and who agreed to participate in the study (n = 530).

RESULTS

The results indicated that one-third of the women had contracted coronavirus infection in each trimester. Most had no pregnancy complications (78.0%), 42.0% had no symptoms of coronavirus infection, 10.0% were hospitalized and 2.0% were admitted to the Intensive Care Unit (ICU). Approximately half declared that they did not receive support from the medical staff, although 71.0% had very good support from their families. Nearly a quarter of respondents stopped smiling while infected, 19% did not want to have any entertainment, and one-third had sleep problems. Moreover, more than half of the pregnant women were feeling anxiety (58.0%) and fear (59.0%). The prevalence of depression and anxiety was 67%. The EPDS scores were statistically significant and associated with being a smoker, method of delivery, getting COVID-19, experiencing COVID-19 symptoms, and being admitted to a hospital or ICU.

CONCLUSIONS

This study highlights that healthcare providers and family members should pay more attention to maternal mental health during a pandemic. Fear and anxiety among pregnant women need to be taken into account more during the period of international crises, taking into account the mental health of the pregnant woman when developing health plans, developing health programs, and providing diagnostic and therapeutic management in the maternal care departments.

摘要

背景

关于冠状病毒病(COVID-19)感染对孕妇心理健康影响的数据仍然有限。该研究探讨了在约旦疫情第一波期间,COVID-19感染对围产期感染COVID-19的母亲心理健康影响的基线信息。当前研究旨在调查在COVID-19大流行期间感染冠状病毒的孕妇的焦虑水平。

方法

于2021年3月至12月期间进行了一项横断面研究,使用在线调查问卷,该问卷通过爱丁堡产后抑郁量表(EPDS)探讨了与COVID-19感染在孕妇焦虑形成中作用相关的关键问题。研究人群为实验室确诊感染COVID-19且同意参与研究的孕妇(n = 530)。

结果

结果表明,三分之一的女性在每个孕期都感染了冠状病毒。大多数人没有妊娠并发症(78.0%),42.0%没有冠状病毒感染症状,10.0%住院,2.0%入住重症监护病房(ICU)。约一半的人表示他们没有得到医护人员的支持,尽管71.0%的人得到了家人的大力支持。近四分之一的受访者在感染期间不再微笑,19%不想有任何娱乐活动,三分之一有睡眠问题。此外,超过一半的孕妇感到焦虑(58.0%)和恐惧(59.0%)。抑郁和焦虑的患病率为67%。EPDS得分具有统计学意义,且与吸烟、分娩方式、感染COVID-19、出现COVID-19症状以及住院或入住ICU有关。

结论

本研究强调,在大流行期间,医疗保健提供者和家庭成员应更加关注孕产妇心理健康。在国际危机期间,需要更多地考虑孕妇的恐惧和焦虑,在制定卫生计划、开展卫生项目以及在孕产妇护理部门提供诊断和治疗管理时,要考虑到孕妇的心理健康。

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